Active NPI
Mulliken Counseling Center, Inc.
- Counselor
- Edina, MN
National Provider Identifier
1811020258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- MULLIKEN COUNSELING CENTER, INC.
- Practice address
- 5275 Edina Industrial Blvd
#124
Edina, MN 55439-2918 - Phone
- (952) 835-7130
- Fax
- (952) 831-1783
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Todd K. Mulliken
- Title
- President
- Phone
- (952) 835-7130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
5275 Edina Industrial Blvd
#124
Edina, MN 55439-2918
Mailing address
5275 Edina Industrial Blvd
#124
Edina, MN 55439-2918
Phone (952) 835-7130
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294012800000",
"number": "1811020258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5275 EDINA INDUSTRIAL BLVD",
"address_2": "#124",
"city": "EDINA",
"state": "MN",
"postal_code": "554392918",
"telephone_number": "952-835-7130",
"fax_number": "952-831-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5275 EDINA INDUSTRIAL BLVD",
"address_2": "#124",
"city": "EDINA",
"state": "MN",
"postal_code": "554392918",
"telephone_number": "952-835-7130",
"fax_number": "952-831-1783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULLIKEN COUNSELING CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2011-01-03",
"status": "A",
"authorized_official_last_name": "MULLIKEN",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "952-835-7130",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.